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Employers consider a role for the government in 2 昀椀nancing high-cost drug therapies. The government negotiates price for 70% all payers for drugs above a certain dollar threshold (e.g., $1M) and paid for out of a national fund. The government implements a 47% stop-loss program where costs above a certain dollar threshold are covered by a national fund. Shift patients with certain high-cost 40% 2020 conditions to Medicare. 2019 Do employers want the government to play a role in managing high-cost drugs? 15% 15% of large employers would of large employers are welcome government concerned that current intervention in managing strategies to 昀椀nance high- high-cost drugs (up price therapies do little 4% from 2019). to address overall price. 2023 Benefits Trends: The evolving workplace 81

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